JENNIFER CASON MULLIS (NPI# 1366999385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366999385 |
| Entity Type | Individual |
| Full Name | JENNIFER CASON MULLIS |
| Practice Address |
75823 Clyde Higginbotham Rd Yulee FL 32097-3800 |
| Practice Telephone | 9047532419 |
| Mailing Telephone | 9047532419 |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598386195 | Jennifer Mullis | Pharmacist | 200 N Main St, Sweeny, TX 77480 | 2020-05-05 |
| 1902925720 | Jennifer Mullis | Nurse Practitioner | 3901 Beaubien, Children's Hospital of Mi, Detroit, MI 48201-2119 | 2007-03-29 |
| Street Address |
75823 CLYDE HIGGINBOTHAM RD |
| City | YULEE |
| State | FL |
| Zip Code | 32097-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104432012 | Sinead Carr | Speech-Language Pathologist | Pediatric Therapy Associates, 463380 State Rd 200 Unit A, Yulee, FL 32097 | 2020-09-17 |
| 1932749298 | Lekira Elmore Taylor | Nurse's Aide | 951421 Bridge Parkway, Fernandina Beach, FL 32097 | 2020-01-14 |
| 1003451816 | Faculty Associates, Inc | Dentist | 76011 William Burgess Boulevard, Yulee, FL 32097 | 2019-11-15 |
| 1932744414 | Beckham's Holdings,llc | Eyewear Supplier (Equipment, not the service) | 463688 Fl-200, Suite 9, Yulee, FL 32097 | 2019-11-08 |
| 1740836048 | University of Florida Jacksonville Physicians Inc | Clinic/Center | 76011 William Burgess Blvd, Yulee, FL 32097 | 2019-08-13 |
| 1669039400 | Genesis Health Development, Inc. | Clinic/Center | 463721 Sr 200, Suite 7, Jacksonville, FL 32097 | 2019-05-28 |
| 1366981540 | Shannon C Taylor | Occupational Therapist | 75136 Ravenwood Drive, Yulee, FL 32097 | 2017-02-21 |
| 1982063244 | Suzanne J Leffew | Nurse Practitioner | 463646 Sr 200 West, Ste. 12, Yulee, FL 32097 | 2016-02-15 |
| 1558737163 | Sun Gallery Enterprises | Eyewear Supplier (Equipment, not the service) | 463867 Sr 200, Suite 4, Yulee, FL 32097 | 2015-08-18 |
| 1962777177 | Spirit Enterprises | Skilled Nursing Facility | 9035 Brian Dairy Road, Largo Health Center, Largo, FL 32097 | 2012-03-21 |
| Find all providers in zip 32097 | ||||
| Taxonomy Code | 222Q00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Developmental Therapist |
| A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Developmental Therapy Association. A developmental therapist evaluates children's global development in order to identify areas of developmental delay whether arising from physiological, neurological, or environmental factors, or a combination of factors; and designs, implements, and modifies therapeutic interventions for the child and the family to promote the child's acquisition of skills in a variety of developmental areas, including cognitive processes and social interaction in order to maximize functional independence and developmental homeostasis, and improve the quality of life at home and in the community; and provides consultation for the parents and other professionals working with the family on global development. |
| Notes: Source: The Illinois Developmental Therapists Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417371980 | Jennifer Michelle Hall | Developmental Therapist | 96629 Sweetbriar Ln, Yulee, FL 32097-6031 | 2014-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830595 | Community Children's Therapy, Inc | Developmental Therapist | 12353 Natalies Cove Rd, Cooper City, FL 33330 | 2020-10-27 |
| 1437756327 | Tabrisha Ruy | Developmental Therapist | 10204 Douglas Oaks Cir Apt 304, Tampa, FL 33610-8646 | 2020-10-05 |
| 1316554116 | Carley Alexandra Scartz-nisbet | Developmental Therapist | 9437 Trumpet Vine Loop, Trinity, FL 34655-5366 | 2020-09-25 |
| 1992319909 | Kelly Todd | Developmental Therapist | 1408 Ariel Ln, Fort Walton Beach, FL 32547-1191 | 2020-09-07 |
| 1104436963 | Cassandra Hert | Developmental Therapist | 13738 Alesbury Ct, Jacksonville, FL 32224-2236 | 2020-08-06 |
| 1750991188 | Kimberley Nunez | Developmental Therapist | 362 Nw Stratford Ln, Port Saint Lucie, FL 34983-3432 | 2020-07-31 |
| 1821607441 | Nakeshia Woody | Developmental Therapist | 3209 E North Bay St, Tampa, FL 33610-6927 | 2020-07-29 |
| 1851900922 | Nathalia Brown | Developmental Therapist | 7911 Blairwood Cir S, Lake Worth, FL 33467-1809 | 2020-07-24 |
| 1053929752 | Jill Schnortz | Developmental Therapist | 484 Nw 232nd Ter, Newberry, FL 32669-2282 | 2020-07-20 |
| 1447868310 | Carleen Korkin | Developmental Therapist | 5004 Elpine Way, Palm Beach Gardens, FL 33418-7846 | 2020-07-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.